Brain Injury Survivor Story Submission

Tell Us Your Story post-it on Cork Board image

Read other peoples stories.

How Can You Share Your Brain Injury Story With Us?

  • Enter your information in the form below
  • Email your story to SCPDBrainInjuryFund@delaware.gov
  • Write your story down on paper and mail it to:

    State Council for Persons with Disabilities
    Brain Injury Story Submission
    Margaret M. O’Neill Bldg., Suite 1
    410 Federal Street
    Dover, DE 19901-3640

  • Call us at (302) 257-3614 and request to have one of our staff read you the questions, listen to your responses and enter your information into our online form.

Story Teller's Information
Permissions

May we use your Full Name?   Yes No

May we use your Photo?  Yes No

If yes, please attach a photo of yourself.

Tell us Your Story

I understand that by sharing my story, I am holding the State Council for Persons with Disabilities (SCPD) and their staff harmless. I agree that SCPD may share my story on their website, in brochures, or Info Sheets, and use it to assist in lobbying for legislation, regulations, and policy relating to brain injuries and/or disabilities.

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